Jump to content
In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2451 - 25 November 2019 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

29 Female Left back punch biopsy. ?Indurated area and facial rash


  • Like 1
  Report Record

User Feedback


Sclerodermoid changes and chronic vascular damage make me think of Dermatomyositis...( also! ).

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

I think the last image is showing "The Line Sign" which favors morphea. The facial rash could be related to an associated connective tissue disease like dermatomysoistis as Vincenzo suggested or LE.

Share this comment


Link to comment
share_externally

Krishnakumar subramanian

Posted

looking at slides again, I see loss of peri eccrine adipose tissue, I do not see peri eccrine lypmphocytes

I see lot of mucin accumulation

most likely morphed but mucin accumulation-can be dermatomyositis/LE

Share this comment


Link to comment
share_externally

Victor Delgado

Posted

Tumid Lupus Erythematosus coexisting with Morphea. Overlap syndrome of connective tissue diseases.

Share this comment


Link to comment
share_externally

Mixed connective tissue disorder - scleroderma + dermatomyositis is the commonest. 

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...